The Role of physical activity and exercise in college students' mental health

A systematic review

Authors

DOI:

https://doi.org/10.32674/px4yw912

Keywords:

systematic review, physical activity, physical exercise, mental health, college students

Abstract

The current review provides a comprehensive understanding of the links between physical activity and mental health outcomes. A total of 38 studies were included in this review. The PRISMA guideline was followed during the search and screening process. The main findings of the review indicate that physical activity and exercise were positively related to mental health outcomes, including subjective well-being, life satisfaction, and psychological well-being. Additionally, students’ active engagement in physical activity and exercise was associated with reduced negative mental health outcomes, such as depression, stress, anxiety, and burnout. The review also identifies several psychosocial factors, such as self-efficacy, social support, emotional intelligence, and resilience, as potential mediators. The strengths, limitations, research gaps, and future research directions are also discussed.

Author Biographies

  • Ojei Collins Emeke, University of Debrecen

    OJEI EMEKE is a PhD student at the Institute of Psychology, University of Debrecen, Hungary. His research interests include factors affecting physical and mental health of higher education students, sport psychology, adaptation of international students, and physical education. Email address: ojeiemekecollins@yahoo.com

  • Werede Tareke Gebregergis, University of Debrecen

    WEREDE GEBREGERGIS is a lecturer at the Department of Psychology, Asmara College of Education, Eritrea. Currently, he is pursuing his PhD studies at the Institute of Psychology, University of Debrecen, Hungary. His research focuses on positive psychology in higher education, factors affecting student mental health, intercultural adaptation of student sojourners, and educational sciences. Email address: weredetarekeg@gmail.com

  • Csilla Csukonyi, University of Debrecen

    CSILLA CSUKONYI, PhD, is a senior lecturer at the Institute of Psychology, University of Debrecen, Hungary. Her major research interests include social and organizational psychology, personality, resilience and adversity quotient, intercultural adaptation, and sports psychology. Email address: csukonyi.csilla@arts.unideb.hu

References

Ahsan, M., & Abualait, T. (2025). Investigation of the relationship between mental health and physical activity among university students. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1546002

Appelqvist-Schmidlechner, K., Vaara, J. P., Vasankari, T., Häkkinen, A., Mäntysaari, M., & Kyröläinen, H. (2020). Relationship between different domains of physical activity and positive mental health among young adult men. BMC Public Health, 20(1), 1116. https://doi.org/10.1186/s12889-020-09175-6

Barbosa, B. C. R., Menezes-Júnior, L. A. A. d., de Paula, W., Chagas, C. M. d. S., Machado, E. L., de Freitas, E. D., Cardoso, C. S., Vidigal, F. C., Nobre, L. N., Silva, L. S., & Meireles, A. L. (2024). Sedentary behavior is associated with the mental health of university students during the Covid-19 pandemic, and not practicing physical activity accentuates its adverse effects: cross-sectional study. BMC Public Health, 24(1), 1860. https://doi.org/10.1186/s12889-024-19345-5

Brailovskaia, J., Cosci, F., Mansueto, G., Miragall, M., Herrero, R., Baños, R. M., Yulia, K., Yakov, K., & Margraf, J. (2021). The association between depression symptoms, psychological burden caused by Covid-19 and physical activity: An investigation in Germany, Italy, Russia, and Spain. Psychiatry Research, 295, 113596. https://doi.org/10.1016/j.psychres.2020.113596

Brito-Suárez, J. M., Argoty-Pantoja, A. D., Achury Beltrán, L. F., González Martínez, L. E., & Gutiérrez Camacho, C. (2023). Association between physical activity and affects in college students during the COVID-19 pandemic: A cross-sectional study. Salud Mental, 46(2), 83–88. https://doi.org/10.17711/SM.0185-3325.2023.011

Brown, C. E. B., Richardson, K., Halil-Pizzirani, B., Atkins, L., Yücel, M., & Segrave, R. A. (2024). Key influences on university students’ physical activity: a systematic review using the Theoretical Domains Framework and the COM-B model of human behaviour. BMC Public Health, 24(1), 418. https://doi.org/10.1186/s12889-023-17621-4

Campbell, F., Blank, L., Cantrell, A., Baxter, S., Blackmore, C., Dixon, J., & Goyder, E. (2022). Factors that influence mental health of university and college students in the UK: A systematic review. BMC Public Health, 22(1), 1778. https://doi.org/10.1186/s12889-022-13943-x

Cao, L., Ao, X., Zheng, Z., Ran, Z., & Lang, J. (2024). Exploring the impact of physical exercise on mental health among female college students: the chain mediating role of coping styles and psychological resilience. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1466327

Cao, Y., & Luo, L. (2024). A longitudinal examination of the effect of physical exercise on the emotional states of college students: exploring the sense of coherence as a mediator through a cross-lagged panel analysis [Original Research]. Frontiers in Behavioral Neuroscience, 18. https://doi.org/10.3389/fnbeh.2024.1428347

Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep, 100(2), 126–131.

Chootong, R., Sono, S., Choomalee, K., Wiwattanaworaset, P., Phusawat, N., Wanghirankul, N., Laojaroensuk, P., Thongkhundum, P., Saetang, R., Euanontat, S., & Anantathaweekul, S. (2022). The association between physical activity and prevalence of anxiety and depression in medical students during COVID-19 pandemic: A cross-sectional study. Annals of Medicine and Surgery, 75, 103408. https://doi.org/10.1016/j.amsu.2022.103408

Dev Omer, R., & Abdul Rahman, A. R. (2016). Influence of emotional intelligence as the mediator between physical activity and mental health (distress) among Malaysian university students. International E-journal of Advances in Social Sciences, 2(5), 492–500. https://doi.org/10.18769/ijasos.95534

Donnelly, S., Penny, K., & Kynn, M. (2024). The effectiveness of physical activity interventions in improving higher education students’ mental health: A systematic review. Health Promotion International, 39(2). https://doi.org/10.1093/heapro/daae027

Doré, I., O'Loughlin, J. L., Schnitzer, M. E., Datta, G. D., & Fournier, L. (2018). The longitudinal association between the context of physical activity and mental health in early adulthood. Mental Health and Physical Activity, 14, 121–130. https://doi.org/10.1016/j.mhpa.2018.04.001

García-García, J., Mañas, A., González-Gross, M., Espin, A., Ara, I., Ruiz, J. R., Ortega, F. B., Casajús, J. A., Rodriguez-Larrad, A., & Irazusta, J. (2023). Physical activity, sleep, and mental health during the COVID-19 pandemic: A one-year longitudinal study of Spanish university students. Heliyon, 9(9), e19338. https://doi.org/10.1016/j.heliyon.2023.e19338

Ge, Y., Xin, S., Luan, D., Zou, Z., Liu, M., Bai, X., & Gao, Q. (2019). Association of physical activity, sedentary time, and sleep duration on the health-related quality of life of college students in Northeast China. Health Qual Life Outcomes, 17(1), 124. https://doi.org/10.1186/s12955-019-1194-x

Ghrouz, A. K., Noohu, M. M., Dilshad Manzar, M., Warren Spence, D., BaHammam, A. S., & Pandi-Perumal, S. R. (2019). Physical activity and sleep quality in relation to mental health among college students. Sleep Breath, 23(2), 627–634. https://doi.org/10.1007/s11325-019-01780-z

Grasdalsmoen, M., Eriksen, H. R., Lønning, K. J., & Sivertsen, B. (2020). Physical exercise, mental health problems, and suicide attempts in university students. BMC Psychiatry, 20(1), 175. https://doi.org/10.1186/s12888-020-02583-3

Hallal, P. C., Victora, C. G., Azevedo, M. R., & Wells, J. C. K. (2006). Adolescent physical activity and health. Sports Medicine, 36(12), 1019–1030. https://doi.org/10.2165/00007256-200636120-00003

Herbert, C., Meixner, F., Wiebking, c., & Gilg, v. (2020). Regular physical activity, short-term exercise, mental health, and well-being among university students: The results of an online and a laboratory study. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00509

Hossain, M. M., Alam, M. A., & Masum, M. H. (2022). Prevalence of anxiety, depression, and stress among students of Jahangirnagar University in Bangladesh. Health Sci Rep, 5(2), e559. https://doi.org/10.1002/hsr2.559

Huang, K., Beckman, E. M., Ng, N., Dingle, G. A., Han, R., James, K., Winkler, E., Stylianou, M., & Gomersall, S. R. (2024). Effectiveness of physical activity interventions on undergraduate students’ mental health: systematic review and meta-analysis. Health Promotion International, 39(3). https://doi.org/10.1093/heapro/daae054

Huang, X., Wang, Y., & Zhang, H. (2023). Effects of physical exercise intervention on depressive and anxious moods of college students: A meta-analysis of randomized controlled trials. Asian Journal of Sport and Exercise Psychology, 3(3), 206–221. https://doi.org/10.1016/j.ajsep.2023.01.001

Ji, H., & Zheng, C. (2021). The influence of physical exercise on college students’ mental health and social adaptability from the cognitive perspective. Work, 69(2), 651–662. https://doi.org/10.3233/wor-213506

Joseph, R. P., Royse, K. E., Benitez, T. J., & Pekmezi, D. W. (2014). Physical activity and quality of life among university students: Exploring self-efficacy, self-esteem, and affect as potential mediators. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 23(2), 661–669. https://doi.org/10.1007/s11136-013-0492-8

Kim, C., Song, Y., & Jeon, Y. J. (2021). The effect of college students' physical activity level on depression and personal relationships. Healthcare (Basel), 9(5). https://doi.org/10.3390/healthcare9050526

Li, B., Han, S.-S., Ye, Y.-P., Li, Y.-X., Meng, S.-Q., Feng, S., Li, H., Cui, Z., Zhang, Y., Zhang, Y., Zhang, Q., Wang, G., Lou, H., Zhu, W., & Liu, Y. (2024). Cross-sectional associations of physical activity and sleep with mental health among Chinese university students. Scientific Reports, 14(1), 31614. https://doi.org/10.1038/s41598-024-80034-9

Li, J., Zhou, Z., Hao, S., & Zang, L. (2024). Optimal intensity and dose of exercise to improve university students’ mental health: a systematic review and network meta-analysis of 48 randomized controlled trials. European Journal of Applied Physiology. https://doi.org/10.1007/s00421-024-05688-9

Li, M., Wang, Q., & Shen, J. (2022). The impact of physical activity on mental health during COVID-19 pandemic in China: A systematic review. International Journal of Environmental Research and Public Health, 19(11), 6584. https://doi.org/10.3390/ijerph19116584

Li, X., Yu, H., & Yang, N. (2021). The mediating role of resilience in the effects of physical exercise on college students' negative emotions during the COVID-19 epidemic. Scientific Reports, 11(1), 24510. https://doi.org/10.1038/s41598-021-04336-y

Liao, T., Yin, Y., Hu, X., Tang, S., & Shim, Y. (2023). The relationship between physical activity and subjective well-being in Chinese university students: the mediating roles of perceived health, social support and self-esteem. Frontiers in Sports and Active Living, 5, 1280404. https://doi.org/10.3389/fspor.2023.1280404

Lipson, S. K., Zhou, S., Abelson, S., Heinze, J., Jirsa, M., Morigney, J., Patterson, A., Singh, M., & Eisenberg, D. (2022). Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013-2021. Journal of Affective Disorders, 306, 138–147. https://doi.org/10.1016/j.jad.2022.03.038

Liu, M., Liu, H., Qin, Z., Tao, Y., Ye, W., & Liu, R. (2024). Effects of physical activity on depression, anxiety, and stress in college students: The chain-based mediating role of psychological resilience and coping styles. Frontiers in Psychology, 15, 1396795. https://doi.org/10.3389/fpsyg.2024.1396795

Liu, Z., Xie, Y., Sun, Z., Liu, D., Yin, H., & Shi, L. (2023). Factors associated with academic burnout and its prevalence among university students: A cross-sectional study. BMC Medical Education, 23(1), 1–13. https://doi.org/10.1186/s12909-023-04316-y

Lubans, D., Richards, J., Hillman, C., Faulkner, G., Beauchamp, M., Nilsson, M., Kelly, P., Smith, J., Raine, L., & Biddle, S. (2016). Physical activity for cognitive and mental health in youth: a systematic review of mechanisms. Pediatrics, 138(3). https://doi.org/10.1542/peds.2016-1642

Mahindru, A., Patil, P., & Agrawal, V. (2023). Role of physical activity on mental health and well-being: A Review. Cureus, 15(1), e33475. https://doi.org/10.7759/cureus.33475

Mahon, A., Holt, C., Hibbert, M., Jago, R., Tinner, L., & Kidger, J. (2025). A scoping review of physical activity interventions to support the mental health of students aged 16 to 25. Discover Public Health, 22(1), 538. https://doi.org/10.1186/s12982-025-00933-8

Malagodi, F., Dommett, E. J., Findon, J. L., & Gardner, B. (2024). Physical activity interventions to improve mental health and wellbeing in university students in the UK: A service mapping study. Mental Health and Physical Activity, 26, 100563. https://doi.org/10.1016/j.mhpa.2023.100563

Marginson, S. (2010). Higher education in the global knowledge economy. Procedia - Social and Behavioral Sciences, 2(5), 6962–6980. https://doi.org/10.1016/j.sbspro.2010.05.049

Martland, R. N., Ma, R., Paleri, V., Valmaggia, L., Riches, S., Firth, J., & Stubbs, B. (2024). The efficacy of physical activity to improve the mental wellbeing of healthcare workers: A systematic review. Mental Health and Physical Activity, 26, 100577. https://doi.org/10.1016/j.mhpa.2024.100577

Murphy, M. H., Carlin, A., Woods, C., Nevill, A., MacDonncha, C., Ferguson, K., & Murphy, N. (2018). Active students are healthier and happier than their inactive peers: the results of a large representative cross-sectional study of university students in Ireland. Journal of Physical Activity and Health, 15(10), 737–746. https://doi.org/10.1123/jpah.2017-0432

Niu, X. (2024). Physical exercise on the physical and mental health of obese university students. American Journal of Health Behavior, 48(5). https://doi.org/10.5993/AJHB.48.5.14

Pascoe, M., Bailey, A. P., Craike, M., Carter, T., Patten, R., Stepto, N., & Parker, A. (2020). Physical activity and exercise in youth mental health promotion: a scoping review. BMJ Open Sport & Exercise Medicine, 6(1), e000677. https://doi.org/10.1136/bmjsem-2019-000677

Pedisic, Z., Greblo Jurakic, Z., Phongsavan, P., Milton, K., & Bauman, A. (2015). Are total, intensity- and domain-specific physical activity levels associated with life satisfaction among university students? PLoS ONE, 10(2), e0118137. https://doi.org/10.1371/journal.pone.0118137

Phang, C.-K., Mohd Sidik, S., Jamil Osman, Z., Jan, K., Firdaus, M., Ismail, S., & Ibrahim, N. (2015). Prevalence of psychological stress among undergraduate students attending a health programme in a Malaysian University. Pertanika Journal of Science and Technology, 23(1), 29–35.

Qin, G.-Y., Han, S.-S., Zhang, Y.-S., Ye, Y.-P., & Xu, C.-Y. (2024). Effect of physical exercise on negative emotions in Chinese university students: The mediating effect of self-efficacy. Heliyon, 10(17), e37194. https://doi.org/10.1016/j.heliyon.2024.e37194

Rebar, A., Alfrey, K. L., & Gardner, B. (2021). Theories of physical activity motivation. Essentials of exercise and sport psychology: An open access textbook, 15–36. https://doi.org/10.51224/B1002

Rehman, S., Tanwar, T., Iram, I., Aldabbas, M., & Veqar, Z. (2024). Does regular physical activity protect sleep and mental health of university students: A systematic review. Sleep and Vigilance, 8(1), 13–23. https://doi.org/10.1007/s41782-024-00263-w

Rhodes, R. E., McEwan, D., & Rebar, A. L. (2019). Theories of physical activity behaviour change: A history and synthesis of approaches. Psychology of Sport and Exercise, 42, 100–109. https://doi.org/10.1016/j.psychsport.2018.11.010

Rodriguez-Ayllon, M., Cadenas-Sánchez, C., Estévez-López, F., Muñoz, N. E., Mora-Gonzalez, J., Migueles, J. H., Molina-García, P., Henriksson, H., Mena-Molina, A., Martínez-Vizcaíno, V., Catena, A., Löf, M., Erickson, K., Lubans, D., Ortega, F. B., & Esteban-Cornejo, I. (2019). Role of Physical Activity and Sedentary Behavior in the Mental Health of Preschoolers, Children and Adolescents: A Systematic Review and Meta-Analysis. Sports Medicine, 49(9), 1383–1410. https://doi.org/10.1007/s40279-019-01099-5

Rodriguez, G., Acebes Sánchez, J., García Merino, S., Garrido-Muñoz, M., Blanco-García, C., & Diez-Vega, I. (2022). Physical activity and mental health in undergraduate students. International Journal of Environmental Research and Public Health, 20(1), 195. https://doi.org/10.3390/ijerph20010195

Rogowska, A. M., Pavlova, I., Kuśnierz, C., Ochnik, D., Bodnar, I., & Petrytsa, P. (2020). Does physical activity matter for the mental health of university students during the COVID-19 Pandemic? Journal of Clinical Medicine, 9(11). https://doi.org/10.3390/jcm9113494

Rois, R., Ray, M., Rahman, A., & Roy, S. K. (2021). Prevalence and predicting factors of perceived stress among Bangladeshi university students using machine learning algorithms. Journal of Health, Population and Nutrition, 40(1), 50. https://doi.org/10.1186/s41043-021-00276-5

Ryan, R. M., & Deci, E. I. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. In S. Fiske (Ed.), Annual Review of Psychology (Vol. 52, pp. 141–166).

Ryff, C. D., & Keyes, C. L. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037//0022-3514.69.4.719

Sheldon, E., Simmonds-Buckley, M., Bone, C., Mascarenhas, T., Chan, N., Wincott, M., Gleeson, H., Sow, K., Hind, D., & Barkham, M. (2021). Prevalence and risk factors for mental health problems in university undergraduate students: A systematic review with meta-analysis. Journal of Affective Disorders, 287, 282–292. https://doi.org/10.1016/j.jad.2021.03.054

Skead, N. K., & Rogers, S. L. (2016). Running to well-being: A comparative study on the impact of exercise on the physical and mental health of law and psychology students. International Journal of Law and Psychiatry, 49(Pt A), 66–74. https://doi.org/10.1016/j.ijlp.2016.05.012

Södergren, M., Sundquist, J., Johansson, S.-E., & Sundquist, K. (2008). Physical activity, exercise and self-rated health: a population-based study from Sweden. BMC Public Health, 8(1), 352. https://doi.org/10.1186/1471-2458-8-352

Sone, T., Kawachi, Y., Abe, C., Otomo, Y., Sung, Y.-W., & Ogawa, S. (2017). Attitude and practice of physical activity and social problem-solving ability among university students. Environmental Health and Preventive Medicine, 22(1), 18. https://doi.org/10.1186/s12199-017-0625-8

Teferi, G. (2020). The effect of physical activity on academic performance and mental health: systematic review. American Journal of Science, Engineering and Technology, 5(3), 131. https://doi.org/10.11648/j.ajset.20200503.12

Tian, Y., & Yang, S. (2024). The chain mediating effect of mindfulness and self-esteem in the relationship between leisure-time physical activity and academic burnout among college students. Scientific Reports, 14(1), 32119. https://doi.org/10.1038/s41598-024-83906-2

Trinh, N. T. H. (2023). Higher education and its role for national development. A research agenda with bibliometric analysis. Interchange, 54(2), 125–143. https://doi.org/10.1007/s10780-023-09493-9

Trinoskey, J., Brahmi, F., & Gall, C. (2009). Zotero: A product review. Journal of Electronic Resources in Medical Libraries, 6, 224–229. https://doi.org/10.1080/15424060903167229

Ugwueze, F. C., Agbaje, O. S., Umoke, P. C. I., & Ozoemena, E. L. (2021). Relationship between physical activity levels and psychological well-being among male university students in Southeast, Nigeria: A cross-sectional study. American Journal of Men's Health, 15(2), 15579883211008337. https://doi.org/10.1177/15579883211008337

Wang, K., Yang, Y., Zhang, T., Ouyang, Y., Liu, B., & Luo, J. (2020). The relationship between physical activity and emotional intelligence in college students: The mediating role of self-efficacy. Frontiers in Psychology, 11, 967. https://doi.org/10.3389/fpsyg.2020.00967

Wang, X., & Fu, K. (2023). Long-term effects of early adversity on the mental health of college students: The mitigating effect of physical exercise. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1102508

Wang, Z., Jiang, B., Wang, X., Li, Z., Wang, D., Xue, H., & Wang, D. (2023). Relationship between physical activity and individual mental health after traumatic events: a systematic review. European Journal of Psychotraumatology, 14(2), 2205667. https://doi.org/10.1080/20008066.2023.2205667

Wei, X., Lai, Z., Tan, Z., Ou, Z., Feng, X., Xu, G., & Ai, D. (2024). The effect of physical activity on depression in university students: the mediating role of self-esteem and positive psychological capital. Frontiers in Psychology, 15, 1485641. https://doi.org/10.3389/fpsyg.2024.1485641

White, R. L., Vella, S., Biddle, S., Sutcliffe, J., Guagliano, J. M., Uddin, R., Burgin, A., Apostolopoulos, M., Nguyen, T., Young, C., Taylor, N., Lilley, S., & Teychenne, M. (2024). Physical activity and mental health: A systematic review and best-evidence synthesis of mediation and moderation studies. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 134. https://doi.org/10.1186/s12966-024-01676-6

Wu, X., Tao, S., Zhang, Y., Zhang, S., & Tao, F. (2015). Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PLoS ONE, 10(3), e0119607. https://doi.org/10.1371/journal.pone.0119607

Wunsch, K., Kasten, N., & Fuchs, R. (2017). The effect of physical activity on sleep quality, well-being, and affect in academic stress periods. Natural Sciences, 9, 117–126. https://doi.org/10.2147/nss.S132078

Zhang, J., Zheng, S., & Hu, Z. (2022). The effect of physical exercise on depression in college students: the chain mediating role of self-concept and social support. Frontiers in Psychology, 13, 841160. https://doi.org/10.3389/fpsyg.2022.841160

Zhao, G., Sun, K., Xue, Y., & Dong, D. (2024). A chain-mediated model of the effect of physical exercise on loneliness. Scientific Reports, 14(1), 30798. https://doi.org/10.1038/s41598-024-81059-w

Zhou, G. Y., Yang, B., Li, H., Feng, Q. S., & Chen, W. Y. (2023). The influence of physical exercise on college students' life satisfaction: The chain mediating role of self-control and psychological distress. Frontiers in Psychology, 14, 1071615. https://doi.org/10.3389/fpsyg.2023.1071615

Additional Files

Published

2026-10-09

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Section

STEM Education (regular)

How to Cite

Emeke, O. C. ., Gebregergis, W. T., & Csukonyi, C. . (2026). The Role of physical activity and exercise in college students’ mental health: A systematic review. American Journal of STEM Education, 23, 55-90. https://doi.org/10.32674/px4yw912